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American Journal of Epidemiology Vol. 122, No. 4: 657-672
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health

research-article

GEOGRAPHIC VARIATION IN DECLINING ISCHEMIC HEART DISEASE MORTALITY IN THE UNITED STATES, 1968–1978

I. RATES AND CHANGE, WHITES AGED 36–74 YEARS

WAYNE B. DAVIS1, CARL G. HAYES1, MARILYN KNOWLES1, WILSON B. RIGGAN2, JOHN VAN BRUGGEN3 * and H. A. TYROLER1,

1Department of Epidemiology, School of Public Health, Rosenau Hall 201H, University of North Carolina, Chapel Hill, NC 27514
2Department of Biostatistics, School of Public Health, University of North Carolina Chapel Hill, NC
3Health Effects Research Laboratory, US Environmental Protection Agency, Research Triangle Park, NC

Reprint requests to Dr. H. A. Tyroler

Despite the well known geographic pattern for heart disease mortality, studies of the decline in ischemic heart disease have not provided a comprehensive examination of its spatial component. In this study, the authors computed and mapped mean rates and per cent change in ischemic heart disease mortality for whites aged 35–74 years, for the period of the Eighth Revision (1968–1978) of the International Classification of Diseases. Visual evidence of clustering and markedly different spatial patterns were found for mean rate and per cent change among the state economic areas of the United States.

ischemic heart disease; mortality

*Deceased


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